Provider Demographics
NPI:1952073504
Name:HOWE, ZACHARY STEPHEN DAVID
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:STEPHEN DAVID
Last Name:HOWE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 442
Mailing Address - Street 2:
Mailing Address - City:WEST STEWARTSTOWN
Mailing Address - State:NH
Mailing Address - Zip Code:03597-0442
Mailing Address - Country:US
Mailing Address - Phone:380-234-0148
Mailing Address - Fax:
Practice Address - Street 1:195 MCGREGOR ST STE 319
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-3749
Practice Address - Country:US
Practice Address - Phone:603-854-8643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-01
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1952073504Medicaid